Active NPI
Oliva Dinal Delossantos, ANP/GNP
- Gerontology Nurse Practitioner
- Houston, TX
National Provider Identifier
1255372173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 505772
- Practice address
- 1504 Taub Loop
5D Office
Houston, TX 77030-1608 - Phone
- (713) 873-2118
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 505772 | TX | Primary |
Addresses
Primary practice location
1504 Taub Loop
5D Office
Houston, TX 77030-1608
Mailing address
2 E Greenway PLZ
Suite 900
Houston, TX 77046-0297
Phone (713) 798-1835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165583902 | Medicaid | TX |
Other names 1
- Mrs. Eva Dinal Delossantos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 505772 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris County Hospital District | Past | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1164463287
-
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1255372173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 E GREENWAY PLZ",
"address_2": "SUITE 900",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770460297",
"telephone_number": "713-798-1835",
"fax_number": "713-798-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"address_2": "5D OFFICE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "713-873-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELOSSANTOS",
"first_name": "OLIVA",
"middle_name": "DINAL",
"name_prefix": "Mrs.",
"credential": "ANP/GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "505772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165583902",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EVA",
"last_name": "DELOSSANTOS",
"middle_name": "DINAL",
"prefix": "MRS.",
"credential": "ANP/GNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.